Visits & medical services prices at Vandalia Health Davis Medical Center

Elkins, WV · every code in this section with a posted price and a Medicare benchmark.

198 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Acoustic reflex testing (92568) $84.59 $120.84 2.4×
Advance care planning first 30 mins (99497) $156.76 $223.93 1.6×
Airway inhalation treatment (94640) $528.21 $754.58 2.5×
Allg tstg perq & ic venoms immed react w/ i&r (95017) $62.33 $89.04 2.2×
Analyze neurostim complex (95972) $557.25 $796.06 6.1×
Analyze neurostim no prog (95970) $1,152.33 $1,646.18 9.0×
Analyze neurostim simple (95971) $1,152.33 $1,646.18 12.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $75.69 $108.12 5.3×
Application on-body injector (96377) $119.83 $171.18 2.7×
Assessment of aphasia per hr (96105) $294.58 $420.82 3.0×
Assmt & care planning pt w/cognitive impairment (99483) $87.19 $124.55 0.9×
Bedside Swallowing Eval (92610) $253.77 $362.52 3.0×
Behavioral and qualitative analysis of voice and resonance (92524) $272.32 $389.02 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,203.82 $1,719.74 3.4×
Canalith Repositioning Procedure (95992) $112.79 $161.12 2.8×
Cardiac Stress Tst,Tracing Only (93017) $808.71 $1,155.29 3.9×
Cardiopulmonary resuscitation (92950) $1,104.10 $1,577.28 5.3×
Cardioversion (92960) $1,699.43 $2,427.75 2.7×
Cbt 1st hour (94644) $1,072.94 $1,532.76 8.4×
Chemo Hormon Antineopl Sq/Im (96402) $385.10 $550.14 5.6×
Chemo Ia Infuse Each Addl Hr (96423) $270.19 $385.98 6.0×
Chemo IV push addl drug (96411) $626.66 $895.22 9.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,298.90 $1,855.57 4.1×
Chemother, IV infusion, 1 hr (96413) $1,298.90 $1,855.57 4.1×
Chemother, IV infusion, ea add hr (96415) $270.19 $385.98 3.9×
Chemother,ia infusn tech,<1 hr (96422) $1,298.90 $1,855.57 4.1×
Chemother,Ia Push Technique (96420) $1,298.90 $1,855.57 4.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $500.02 $714.31 7.2×
Chemotherapy Administration Intralesional </7 (96405) $270.19 $385.98 3.9×
Chemotherapy into cns (96450) $1,080.16 $1,543.08 3.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $438.53 $626.46 6.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,298.90 $1,855.57 4.1×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $1,298.90 $1,855.57 4.1×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $527.57 $753.66 1.7×
Chronic care management services 1st 20 min (99490) $111.30 $159 1.1×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $2,571.03 $3,672.90 7.2×
Color/duplex Doppler, complete (93975) $627.75 $896.78 2.7×
Color/duplex Doppler, limited (93976) $595.83 $851.18 5.9×
Comprehensive Hearing Test (92557) $352.04 $502.90 2.9×
Corneal Topography (92025) $175.31 $250.43 3.1×
Cpap/bipap (94660) $818.04 $1,168.62 3.9×
Cpt initial (94667) $653.98 $934.24 5.1×
Cptrized oph dx img anterior segment uni/bi (92132) $156.76 $223.93 2.8×
Cptrized oph dx img pst segment uni/bi optic nrv (92133) $175.31 $250.43 3.1×
Cptrized oph dx img pst segment uni/bi retina (92134) $175.31 $250.43 3.1×
Critical care (99291) $3,403.36 $4,861.93 4.3×
Debridement Open Wound 20 Sq Cm< (97597) $516.03 $737.18 2.7×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $808.71 $1,155.29 3.9×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $808.71 $1,155.29 2.3×
Echo Heart Xthoracic,Limited (93308) $627.75 $896.78 2.7×
Echo r-t 2d w/probe placement only (93313) $1,423.94 $2,034.19 2.7×
Echo transesophag montr cardiac pump functj (93318) $1,423.94 $2,034.19 2.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,787.48 $2,553.54 3.4×
EEG awake and asleep (95819) $979.39 $1,399.12 4.7×
EEG awake drowsy (95816) $1,203.82 $1,719.74 5.8×
EEG cerebral death evaluation (95824) $522.24 $746.05 1.5×
EEG coma or sleep only (95822) $1,491.82 $2,131.17 7.2×
EKG rhythm strip (93041) $443 $632.85 7.8×
Electrocardiogram Tracing (93005) $154.26 $220.37 2.7×
EMG one extremity (95860) $334.76 $478.22 2.6×
Er level 1 (99281) $340.51 $486.43 4.2×
Er level ii (99282) $627.27 $896.10 4.3×
Er level iii (99283) $1,094.30 $1,563.28 4.2×
Er level IV (99284) $1,698.70 $2,426.71 4.2×
Er level v (99285) $2,463.48 $3,519.25 4.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $406.33 $580.47 3.3×
Eval speech sound production (92522) $272.32 $389.02 2.4×
Eval to use/fit voice prosth (92597) $326.12 $465.87 4.6×
Evaluate Pt Use Of Inhaler (94664) $643.31 $919 3.1×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $356.16 $508.80 2.9×
Evaluation of speech fluency (92521) $272.32 $389.02 2.0×
External Ecg Scanning Analysis Report (93226) $355.42 $507.74 6.3×
Eye exam, new patient,comprehesv (92004) $369.15 $527.35 2.9×
Fundus photography w/interpretation & report (92250) $333.90 $477 2.6×
Gonioscopy (92020) $353.39 $504.83 2.8×
Group Therapeutic Procedures (97150) $80.88 $115.54 4.5×
Hemodialysis (90935) $1,817.18 $2,595.96 2.8×
Holter Monitor (93225) $355.42 $507.74 2.8×
Imm admn sarscov2 vaccine single dose (90480) $107.83 $154.04 2.8×
Immune Admin Oral/Nasal (90473) $99.37 $141.95 1.4×
Immunization Admin (90471) $184.84 $264.05 2.7×
Injection intra arterial (96373) $547.17 $781.67 2.7×
Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) $141.36 $201.93 2.5×
Intralesional Chemo Admin,8+ Lesn (96406) $1,298.90 $1,855.57 6.4×
Irrig drug delivery device (96523) $269.68 $385.26 4.8×
IV infusion hydration each additional hour (96361) $137.27 $196.10 3.1×
IV infusion hydration initial 31 min-1 hour (96360) $547.17 $781.67 2.7×
IV infusion ther proph addl sequential to 1 hr (96367) $184.84 $264.05 2.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $547.17 $781.67 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $133.56 $190.80 3.0×
IV push ea addl new drug (96375) $119.83 $171.18 2.7×
IV push initial (96374) $547.17 $781.67 2.7×
Manual therapy 15 min (97140) $80.88 $115.54 2.9×
Massage 15 min (97124) $80.88 $115.54 2.7×
Mechanical chest wall oscillation (94669) $489.93 $699.90 2.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $253.77 $362.52 2.8×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $1,259.30 $1,799 2.9×
Nasopharyngoscopy (92511) $504.19 $720.26 2.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $808.71 $1,155.29 3.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $361.73 $516.75 1.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,298.50 $1,855 3.3×
Nerve Conduction Studies 11-12 Studies (95912) $1,685.99 $2,408.55 4.7×
Nerve conduction studies 13/> studies (95913) $1,685.99 $2,408.55 4.7×
Nerve Conduction Studies 3-4 Studies (95908) $988.21 $1,411.72 4.8×
Nerve Conduction Studies 5-6 Studies (95909) $988.21 $1,411.72 4.8×
Nerve Conduction Studies 7-8 Studies (95910) $988.21 $1,411.72 2.8×
Nerve Conduction Studies 9-10 Studies (95911) $1,685.99 $2,408.55 4.7×
Nerve conduction studies; 1-2 studies (95907) $493.72 $705.32 2.4×
Neurobehavioral Status Exam (96116) $988.21 $1,411.72 4.8×
Newborn resuscitation (99465) $7,488.35 $10,697.64 11.8×
Nitric oxide expired gas determination (95012) $140.24 $200.34 3.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $599.09 $855.84 4.9×
Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) $353.39 $504.83 2.8×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $369.15 $527.35 2.9×
Ophth medical xm&eval intermediate estab pt (92012) $369.15 $527.35 2.9×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) $369.15 $527.35 2.9×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $175.31 $250.43 3.1×
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) $309.79 $442.55 2.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $80.88 $115.54 1.8×
Oscillating Tracking Test (92545) $571.34 $816.20 2.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $96.53 $137.90 4.7×
Osteopathic manipulative tx 3-4 body regions (98926) $58.44 $83.48 2.8×
Osteopathic manipulative tx 5-6 body regions (98927) $96.53 $137.90 4.7×
Osteopathic manipulative tx 7-8 body regions (98928) $96.53 $137.90 4.7×
Osteopathic manipulative tx 9-10 body regions (98929) $96.53 $137.90 4.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $79.40 $113.42 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $83.85 $119.78 2.1×
Ot therapeutic activity 15 min (97530) $80.88 $115.54 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $1,203.82 $1,719.74 9.7×
Percutaneous tests w/allergenic extracts (95004) $2,277.20 $3,253.14 2.8×
Plethysmography (94726) $1,203.82 $1,719.74 3.4×
Positional Nystagmus Test (92542) $235.59 $336.55 1.8×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $104.63 $149.46 2.3×
Prepj& antigen allergen immunotherapy 1 insect (95145) $104.63 $149.46 2.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $141.78 $202.53 3.2×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95147) $104.63 $149.46 1.5×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) $104.63 $149.46 2.3×
Psych diag eval w/med srvcs (90792) $172.52 $246.45 1.0×
Psychiatric diagnostic evaluation (90791) $165.10 $235.85 1.0×
Pt Electrical Stimulation (97032) $75.69 $108.12 5.1×
Pt eval high complex 45 min (97163) $250.80 $358.28 2.6×
Pt eval low complex 20 min (97161) $250.80 $358.28 2.6×
Pt eval mod complex 30 min (97162) $250.80 $358.28 2.6×
Pt gait training 15 min (97116) $80.88 $115.54 2.8×
Pt group caregiver training (97552) $32.65 $46.64 1.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $80.88 $115.54 2.5×
Pt re-evaluation (97164) $141.73 $202.46 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $83.85 $119.78 2.6×
Pulm function test by gas (94727) $781.66 $1,116.66 3.8×
Pulmonary Service/Procedure (94799) $98.69 $140.98 0.8×
Pulmonary stress test simple (94618) $338.46 $483.51 2.7×
Pure Tone Audiometry Air & Bone (92553) $299.59 $427.98 2.4×
Pure Tone Audiometry Air Only (92552) $236.52 $337.88 1.9×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $861.41 $1,230.58 2.7×
Refill/Maint Portable Pump (96521) $547.17 $781.67 2.7×
Refill/Maint Pump/Resvr Syst (96522) $547.17 $781.67 2.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $133.70 $190.98 3.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $516.03 $737.18 2.7×
Rt Chest Wall Manipulation,Subsequent (94668) $489.91 $699.87 3.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $179.57 $256.52 3.8×
Sinusoidal Vertical Axis Rotational Testing (92546) $299.59 $427.98 2.4×
Sleep study unattended (95806) $406.33 $580.47 2.0×
Slp caregiver training 1st 30 min (97550) $116.18 $165.96 2.2×
Smoking cessation > 10 min (99407) $106.75 $152.50 3.0×
Speech Audiometry Complete (92556) $136.03 $194.32 2.4×
Speech audiometry threshold (92555) $70.49 $100.70 1.2×
Speech sound lang comprehen (92523) $176.60 $252.28 0.8×
Spirometry (94010) $599.09 $855.84 2.9×
Spontaneous nystagmus test (92541) $236.52 $337.88 1.9×
Standardized Cognitive Performance Testing (96125) $218.89 $312.70 2.1×
Stress echo (93350) $1,852.04 $2,645.76 3.5×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $547.17 $781.67 2.7×
Temp transcutaneous pacing (92953) $1,699.43 $2,427.75 2.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $64.56 $92.22 2.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $59.36 $84.80 2.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $276.77 $395.38 2.7×
Ther/prop/diag inj/inf proc (96379) $119.83 $171.18 2.7×
Therapeutic prophylactic/dx injection subq/im (96372) $184.84 $264.05 2.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $106.75 $152.50 3.0×
Trans Care Mgmt 14 Day Disch (99495) $455.61 $650.86 3.6×
Trans Care Mgmt 7 Day Disch (99496) $455.61 $650.86 3.6×
Tte w/doppler, complete (93306) $1,423.94 $2,034.19 2.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $627.75 $896.78 2.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $90.16 $128.79 1.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $80.88 $115.54 3.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $104.26 $148.93 1.2×
Tympanometry (92567) $86.22 $123.16 2.4×
Tympanometry And Reflex Threshold Measurements (92550) $352.96 $504.22 1.7×
Vasopneumatic device (97016) $49.72 $71.02 4.1×
Vent mgmt inpat init day (94002) $818.04 $1,168.62 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $703.84 $1,005.48 1.2×
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) $353.39 $504.83 2.8×
Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) $211.47 $302.10 3.7×
Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) $175.31 $250.43 3.1×
Visual reinforcement audiometry (vra) (92579) $359.50 $513.57 1.7×
Vital capacity, total (94150) $320.64 $458.05 2.6×
Wheelchair Mgmt Ea 15 Min (97542) $97.95 $139.92 3.2×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $175.31 $250.43 4.9×